Individual ProviderEmily CiavolellaPharmacistPharmacy Service ProvidersPractice Address218 Myrtle Ave, Brooklyn, NY 11201-3934(718) 596-2460PECOS EnrollmentBased on the most recent information from CMS, provider Emily Ciavolella does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1750164133Provider TypeIndividualFull NameCiavolella, EmilyGenderFemaleSole ProprietorNoEnumeration Date8/17/2023Last Updated8/17/2023Contact InformationPractice LocationPractice Address218 Myrtle Ave, Brooklyn, NY 11201-3934Phone(718) 596-2460FaxUnlisted FaxMailing LocationMailing Address218 Myrtle Ave, Brooklyn, NY 11201-3934Phone(718) 596-2460FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense070570New York